Smith, Susan B

Smith, Susan B is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Susan B can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209007271 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209007271 Illinois

Profile Details

NPI number 1164736047
LBN Legal business name Smith, Susan B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Jun 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164736047 NPPES
Other 206147073 MEDICARE PTAN (INDIVIDUAL)
Other 206147 MEDICARE PTAN (INDIVIDUAL)

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